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Rev. Méd. Clín. Condes ; 21(5): 757-763, sept. 2010. ilus, tab, graf
Article in Spanish | LILACS | ID: biblio-999302

ABSTRACT

Cirrosis hepática es una enfermedad prevalente en el mundo. Su diagnóstico y tratamiento debe ser dominio de todo médico general e internista. En los últimos años han ocurrido notables avances en el diagnóstico, fisiopatología, tratamiento y en la identificación de factores pronósticos de cirrosis y de sus complicaciones mayores. Particular atención ha existido en desarrollar medidas preventivas de sus complicaciones como por ejemplo: hemorragia por várices esofágicas, peritonitis bacteriana espontánea, síndrome hepatorrenal. Estas medidas preventivas han influido de forma muy favorable en el pronóstico de los pacientes cirróticos. En este artículo se discuten las diversas estrategias preventivas que han demostrado su efectividad en cirrosis hepática


Liver cirrhosis is a prevalent disease around the world. Its diagnosis and treatment must be in the knowledge of every general physicians and internist.Over the last years, there have been notorious advances in the diagnosis, pathophysiology, treatment and the identification of prognosis factors for cirrhosis major complications.There has been particular attention to the development of preventive measures for its complications, such as variceal bleeding, spontaneous bacterial peritonitis, hepatorenal syndrome. These preventive measures have had a favorable influence on the prognosis of cirrhotic patients. This article discusses several preventive strategies that have proven its effectiveness in hepatic cirrhosis


Subject(s)
Humans , Peritonitis/prevention & control , Hepatorenal Syndrome/prevention & control , Esophageal and Gastric Varices/prevention & control , Liver Cirrhosis/complications , Peritonitis/microbiology , Prognosis , Severity of Illness Index , Ascitic Fluid/microbiology , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/etiology , Adrenergic beta-Antagonists/administration & dosage , Gastrointestinal Hemorrhage/ethnology , Gastrointestinal Hemorrhage/prevention & control , Liver Cirrhosis/therapy , Anti-Bacterial Agents/administration & dosage
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